Individual
MARK S GOROVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12381 S CLEVELAND AVE STE 300, FORT MYERS, FL 33907-3852
(239) 939-1444
(239) 936-7710
Mailing address
12381 S CLEVELAND AVE, STE 300, FORT MYERS, FL 33907-3852
(239) 939-1444
(239) 936-7710
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME39771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066657200
—
FL
01
—
0868210-002
CIGNA
FL
01
—
15808
STAYWELL
FL
01
—
36319
BC/BS
FL
01
—
4209944
AETNA
FL
01
—
805595
UNITED HEALTHCARE
FL
01
—
P00117729
RR MEDICARE
FL
Enumeration date
05/23/2005
Last updated
09/22/2020
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